Provision of Nursing Care Through Expressive Writing Therapy on Self-Disclosure Ability in Mr. E And Mr. S With Hallucinations at The Harapan Sentosa II Social Welfare Institution

Abstract

Mental disorders, including schizophrenia, are a significant global health issue with increasing prevalence. One of the primary symptoms of schizophrenia is hallucinations, which can interfere with an individual's ability to express themselves and interact socially. Based on an initial survey of medical records from the Harapan Sentosa II Social Welfare Institution, there are approximately 900 patients, with a monthly increase in diagnosed hallucination cases. In the last six months, about 50 patients were diagnosed with auditory hallucinations, and another 50 with visual hallucinations. Expressive Writing Therapy is an intervention believed to improve self-disclosure abilities in hallucination patients. This study aims to analyze the effect of Expressive Writing Therapy on self-disclosure in Mr. E and Mr. S, both diagnosed with hallucinations at the Harapan Sentosa II Social Welfare Institution. Using a qualitative case study approach, data were collected through interviews and observations over a specific period. The results indicated a significant improvement in self-disclosure abilities. Before therapy, patients exhibited withdrawal tendencies and difficulty expressing their emotions. After therapy, they demonstrated enhanced control over their hallucinations and a greater willingness to communicate with others. This study concludes that Expressive Writing Therapy is an effective non-pharmacological intervention for improving self-disclosure among schizophrenia patients experiencing hallucinations.